The Nursery Has Just Admitted a New Infant Born 1

Multiple Choice

The nursery has just admitted a new infant born 1 hour ago. While performing an assessment, the nurse suspects the infant may have hypoglycemia based on which of the following assessment data? Select all that apply.

A) Heel stick glucose value of 50 mg/dL
B) Infant having periods of apnea requiring physical stimulation
C) Muscle twitching noted while lying in crib undisturbed by nurses
D) Hyperactive reflexes noted especially when crying
E) Poor suck reflex resulting in an inability to feed properly